Obituaries

Hartford Rosbach
B: 1946-10-27
D: 2018-01-15
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Rosbach, Hartford
Norman Koontz
B: 1939-08-05
D: 2018-01-13
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Koontz, Norman
Tabitha Smyth
B: 1966-03-21
D: 2018-01-13
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Smyth, Tabitha
Richard Rotz
B: 1931-04-16
D: 2018-01-07
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Rotz, Richard
Lisa Dowdy
B: 1962-02-23
D: 2018-01-05
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Dowdy, Lisa
Dr. Thomas Papoutsis
B: 1933-05-29
D: 2018-01-04
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Papoutsis, Dr. Thomas
Walter Love
B: 1922-09-15
D: 2018-01-03
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Love, Walter
Enos Zimmerman
B: 1940-01-28
D: 2018-01-01
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Zimmerman, Enos
Louise Hutchinson
B: 1932-06-06
D: 2018-01-01
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Hutchinson, Louise
Paul Reed
B: 1942-09-28
D: 2018-01-01
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Reed, Paul
Jack Furry
B: 1933-11-24
D: 2018-01-01
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Furry, Jack
Ellis Durf
B: 1936-07-15
D: 2017-12-31
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Durf, Ellis
James Reed
B: 1924-06-24
D: 2017-12-30
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Reed, James
Elmer Martin
B: 2017-11-09
D: 2017-12-29
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Martin, Elmer
Charles Perry
B: 1935-02-09
D: 2017-12-28
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Perry, Charles
Steve Gardner
B: 1954-04-07
D: 2017-12-27
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Gardner, Steve
Romaine Ressler
B: 1931-01-26
D: 2017-12-25
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Ressler, Romaine
Chris Bock
B: 1958-12-04
D: 2017-12-25
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Bock, Chris
Jacob Corwell
B: 1935-05-02
D: 2017-12-24
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Corwell, Jacob
James Johnson
B: 1937-01-30
D: 2017-12-23
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Johnson, James
Robert Crawley
B: 1933-02-21
D: 2017-12-23
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Crawley, Robert

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Phone: 717-532-2211
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I. Biographical Information

Full Name:
Address1:
Address2:
City Name:
State:
Zip Code:
Telephone Number:
(xxx-xxx-xxxx)
Email Address:
Date of Birth: (month/day/year)
City of Birth:
State of Birth:
Highest Education Level:        
Please select Grade/Years of Education completed:        
Social Security Number: For security reasons, we will contact you to complete the pre-arrangement.
Residence History:
Father's Name:
Father's City of Residence:
Mother's Name:
Mother's City of Residence:
Mother's Maiden Name:
Spouse's Name:
Spouse's Maiden Name:
Survivors' Names and Cities of Residence
Relatives Who Have Preceded You In Death
Your Occupation:
Business Type:
Company Name:
Church Membership:
Lodge or Union Name:
         

II. Military Record

Veteran:
Branch of Service:
Serial Number:
Date Enlisted: (month/day/year)
Date of Discharge: (month/day/year)
Rank at Discharge:
Location of a Copy of Discharge (DD214):
Time of Military Service:
Military Honors at Graveside:
Flag Preference for Service:

III. Service Preferences

Type of Service:
Visitation Hours:
Casket:
Person in Charge of Arrangements:
Officiating Clergy:
Pallbearers:
Flower Preference:
Music Selection:
Jewelry:
Glasses:
Casket Preference:
Disposition:
Outer Container Preference: (for ground burial)
Cemetery Name:
Cemetery Location:
The cemetery property is in the name of:
         

Miscellaneous Notes and Instructions:

             

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